Pediatric fractures – an educational needs assessment of Canadian pediatric emergency medicine residents

Figures & data

Table 1 General data

	Number (%)
Year of PEM training 1	7 (31.8%)
Year of PEM training 2	10 (45.5%)
Completed training in past 1 year	5 (22.7%)
Primary training-pediatrics	20 (90.9%)
Primary training emergency medicine	2 (9.1%)
Closed reductions-PEM	9 (40.9%)
Closed reduction-orthopedics	13 (59.1%)

Abbreviation: PEM, pediatric emergency medicine.

Table 2 Comfort with X-ray interpretation

Comfort with interpretation of X-rays by region	Mean (0-100 scale) (95% CI)
MSK injury - general	69.1 (62-76)
General by year	Year 1 - 54 (41-67)
	Year 2 - 73 (63-73)
	complete - 78.4 (72-85)
Foot	53 (44-64)
Hand	64 (56-72)
Knee	67 (60-75)
Elbow	73.3 (64-83)

Abbreviations: CI, confidence interval; MSK, musculoskeletal.

Table 3 Independent management and physical examination

Comfort with physical exam and fracture management	Mean (0-100 scale) (95% CI)
Pediatric fractures - general	53 (45-63)
General by year	Year 1 - 35 (25-45)
	Year 2 - 59.8 (49-70)
	Complete - 70.0 (51-89)
Supracondylar	60 (50-71)
Elbow condylar/epicondylar	52 (43-60)
Radius and ulna	66.8 (58-76)
Tibia and fibula	61 (51-71)
Ankle	59 (51-67)
Examination of shoulder	60 (53-68)
Examination of knee	69 (62-76)
Neurovascular examination - upper limb	82 (75-89)
Neurovascular examination - lower limb	81 (74-87)

Abbreviation: CI, confidence interval.

Table 4 Knowledge and application

Question/case	Correctly identify injury or answer Question (95% CI)	Appropriate management or knowledge of acceptable angulation/displacement (95% CI)
Supracondylar fracture	100% (87-100)	39% (20-61)
Medial epicondyle fracture	44% (24-66)	56% (34-75)
Radius/ulna fracture		89% (67-97)
Triplane fracture	89% (67-97)	89% (67-97)
Radial torus fracture		74% (55-91)
ASIS avulsion	72% (49-87)	33% (16-56)
Ottawa Ankle rule	83% (60-94)
Capitate-ossification	47% (26-69)
Scaphoid-ossification	71% (47-87)
Radial head-ossification	71% (47-87)
Olecranon-ossification	82% (59-94)

Abbreviations: CI, confidence interval; ASIS, anterior superior iliac spine.